New Baby Registration

Baby Registration

Is this the first registration for this baby? *

Baby Details

Please use the format DD/MM/YYYY
Sex:

If you are registering a child under 5

Child Surveillance:

Family Members

Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.

Sharing your Health Care Records and Information

Please view our page on Sharing Your Health Care Records and Information before answering the questions below.

Your Choice for the Summary Care Record:
Your Choice for Gloucestershire Shared Health and Social Care Information (JUYI):
Are you happy for us to share electronic information with clinicians in other NHS organisations (and Gloucestershire County Council social care in the case of JUYI) who are involved with your care?